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小儿发声机制:结构与功能

The Pediatric Vocal Mechanism: Structure and Function.

作者信息

Fujiki Robert Brinton, Venkatraman Anumitha, Heller Murray Elizabeth S

机构信息

Department of Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN.

Department of Surgery, University of Wisconsin-Madison, Madison, WI.

出版信息

J Voice. 2025 Apr 4. doi: 10.1016/j.jvoice.2025.03.025.

Abstract

The pediatric vocal mechanism is dynamic and complex. Effective treatment of voice disorders in children requires accurate knowledge of typical laryngeal structure and function. This is particularly crucial given that the pediatric vocal mechanism differs in structure and function from that found in adults. Yet, it can be difficult to find data specific to pediatric voices. This article describes three aspects of vocal function across childhood: 1) laryngeal anatomical structure, 2) quantitative voice measures across childhood, and 3) voice disorder risk across childhood. The influence of dysphonia on quality of life across childhood is also considered. The goal of this review is to enhance the diagnosis of pediatric voice disorders as well as to highlight areas for future inquiry.

摘要

儿童发声机制是动态且复杂的。有效治疗儿童嗓音障碍需要准确了解典型的喉部结构和功能。鉴于儿童发声机制在结构和功能上与成人不同,这一点尤为关键。然而,很难找到针对儿童嗓音的具体数据。本文描述了儿童期发声功能的三个方面:1)喉部解剖结构,2)儿童期的嗓音量化指标,3)儿童期嗓音障碍风险。还考虑了发声困难对儿童期生活质量的影响。本综述的目的是加强儿童嗓音障碍的诊断,并突出未来研究的领域。

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本文引用的文献

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Clinical Case Study: Pediatric Bilateral Benign Vocal Fold Lesions.临床病例研究:小儿双侧良性声带病变
Perspect ASHA Spec Interest Groups. 2023 Dec;8(6):1337-1344. doi: 10.1044/2022_persp-22-00150. Epub 2023 Dec 7.
3
Laryngeal Aerodynamics, Acoustics, and Hypernasality in Children With Cleft Palate.腭裂患儿的喉动力学、声学及鼻音过重问题
J Speech Lang Hear Res. 2025 Apr 8;68(4):1676-1690. doi: 10.1044/2024_JSLHR-24-00763. Epub 2025 Feb 28.
4
Voice Disorder Prevalence and Vocal Health Characteristics in Adolescents.青少年嗓音障碍的患病率及嗓音健康特征。
JAMA Otolaryngol Head Neck Surg. 2024 Sep 1;150(9):800-810. doi: 10.1001/jamaoto.2024.2081.
5
Voice Disorder Prevalence and Vocal Health Characteristics in Children.儿童嗓音障碍的患病率和嗓音健康特征。
JAMA Otolaryngol Head Neck Surg. 2024 Aug 1;150(8):677-687. doi: 10.1001/jamaoto.2024.1516.
9
Voice Onset Time in Children With and Without Vocal Fold Nodules.声带小结患儿与声带正常儿童的起始发声时间比较。
J Speech Lang Hear Res. 2023 May 9;66(5):1467-1478. doi: 10.1044/2023_JSLHR-22-00463. Epub 2023 Mar 20.

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